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Organization
STEM CELL & PRP INSTITUTE OF LA GENERAL & MENS HEALTH PAIN & AEST
Active
Organization
STEM CELL & PRP INSTITUTE OF LA GENERAL & MENS HEALTH PAIN & AEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADRA NOURPARVAR DO (OWNER)
(323) 207-6334
Entity
Organization
Contact information
Practice address
8631 W 3RD ST # 545E, LOS ANGELES, CA 90048-5901
(323) 207-6334
Mailing address
8631 W 3RD ST # 545E, LOS ANGELES, CA 90048-5901
(323) 207-6334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457504136
—
CA
05
—
1487290409
—
CA
Enumeration date
02/19/2021
Last updated
02/19/2021
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